Codebase & compliance audit
Full-stack gap analysis across security posture, SOC 2 / HITRUST readiness, EHR integration feasibility, and documentation. Output: a signed-off 12-week plan with no surprises.
12-Week Enterprise-Readiness
Pass Enterprise Security. Win Hospital Deals.
Turn your MVP into a platform hospitals will actually buy. In 12 weeks we harden your architecture, deliver SOC 2 / HITRUST evidence, and ship FHIR integrations — so you can say yes to enterprise procurement.
SOC 2 & HITRUST ReadinessFHIR Integration in 4–8 Weeks~75 Hours of SOC 2 EvidenceWorks on Codebases We Didn't Build
Trusted by global innovators
Fixed scope. Fixed timeline. No surprise invoices.
Tell us what enterprise buyers are asking for — SOC 2, HITRUST, FHIR, or all of it. We'll map your 12-week path and what it will take to pass hospital security reviews.
3–5 days
Codebase & compliance audit
~75 hrs
SOC 2 evidence delivered
4–8 weeks
FHIR integration window
Is this the right engagement for you?
Built for healthcare products that have outgrown their MVP architecture
Your MVP is in market. Enterprise buyers are asking for SOC 2 reports, HITRUST attestations, FHIR integration, and a security architecture that survives a hospital procurement review. You've been told it'll take 9–12 months. It won't — when the work is structured.
Half of our enterprise-readiness engagements start with a codebase we didn't write. The Week 1 audit maps what exists, what's missing, and exactly how we'll close each gap. You walk out of Week 1 with a concrete 12-week plan and no surprises.
What you walk away with
A hospital-ready platform — architecture, evidence, and integration
By Week 12 you have an enterprise-ready platform, a complete documentation package, and the compliance evidence hospital security teams actually ask for.
- Hardened security architecture — access controls, encryption, logging, monitoring, backup/DR
- ~75 hours of SOC 2 evidence collected and organised for your auditor
- HITRUST gap-closure plan with prioritised remediation
- Production FHIR integration validated against Epic, Cerner/Oracle, or Athena sandboxes
- HL7 v2 interface (if needed) for legacy hospital systems
- Enterprise documentation package — architecture diagrams, runbooks, security questionnaire answers
- BAA-ready infrastructure documented to meet hospital procurement requirements
What we deliver
The four enterprise-readiness workstreams
Each workstream runs in parallel through the 12 weeks — audit informs everything, then security, integration, and validation ship together.
Hardened security architecture
Access controls, encryption, logging, monitoring, backup/DR — enterprise-grade and documented to survive hospital security questionnaires.
SOC 2 evidence collection
~75 hours of SOC 2 evidence collected, organised by Trust Service Criteria, and delivered to your auditor — not just policies, actual evidence.
HITRUST gap-closure plan
HITRUST CSF gap analysis with a prioritised remediation roadmap aligned to your enterprise deal pipeline.
FHIR R4 integration
Production-grade FHIR integration validated against Epic App Orchard, Cerner/Oracle Code, and Athenahealth Marketplace sandboxes.
HL7 v2 interfaces
HL7 v2 ADT/ORM/ORU/SIU interfaces for legacy hospital systems that still require it — with replay-safe queues and audit trails.
Enterprise documentation package
Architecture diagrams, runbooks, data-flow documentation, and a security questionnaire answer library you can reuse on every deal.
BAA-ready cloud infrastructure
Cloud infrastructure configured and documented to meet BAA and enterprise procurement requirements — encryption, key management, region controls.
Reference architecture
What an enterprise-ready healthcare platform actually looks like
Three layers — security & access, integration & data, and evidence & documentation — engineered together so they pass procurement review without retrofitting.
Security & access layer
- Role-based access control reviewed against HIPAA Security Rule
- Encryption at rest (KMS-managed keys) and in transit (TLS 1.2+)
- Comprehensive audit logging with tamper-evident storage
- Centralised observability, alerting, and incident response runbooks
- Backup, disaster-recovery, and business-continuity plans tested in production
Integration & data layer
- FHIR R4 APIs validated against Epic, Cerner/Oracle, and Athena sandboxes
- HL7 v2 interfaces (ADT, ORM, ORU, SIU) for legacy hospital systems
- Terminology services (SNOMED, LOINC, ICD-10, RxNorm) where applicable
- PHI segregation, data lineage, and provenance documentation
- Vendor BAA inventory with renewal monitoring
Evidence & documentation layer
- ~75 hours of SOC 2 evidence organised by Trust Service Criteria
- HITRUST CSF gap-closure plan with prioritised remediation
- Security questionnaire answer library, reusable across every enterprise deal
- Architecture diagrams, data-flow diagrams, and runbooks
- Procurement-ready BAA package and subprocessor inventory
Why this beats the 9–12 month path
12-week enterprise-readiness vs the typical SOC 2 + integration timeline
Most teams treat SOC 2, HITRUST, and FHIR integration as serial projects. We run them as parallel workstreams informed by one audit — which is why 12 weeks works.
| Dimension | Typical 9–12 month path | Agnotic 12-Week Enterprise-Ready |
|---|---|---|
| Audit & planning | Months 1–2 of separate scoping engagements | 3–5 days, signed-off plan by end of Week 1 |
| SOC 2 evidence | Compliance vendor + months of internal work | ~75 hours of evidence delivered in Weeks 2–6 |
| FHIR / EHR integration | 3–6 months of separate integration project | 4–8 weeks parallel with security workstream |
| Documentation | Done at the end, often by a non-technical writer | Written alongside the build by the engineers |
| Hospital security questionnaire | Cold-start every deal | Answer library reusable across every deal |
| Total time-to-enterprise-ready | 9–12 months | 12 weeks |
Bigger codebases sometimes need more time. The Week 1 audit makes that call explicit — no mid-engagement surprises.
Where this engagement runs
Healthcare platforms we've taken from MVP to enterprise-ready
Clinical AI platforms
AI products preparing for hospital pilots that need PHI-safe architecture, SOC 2 evidence, and FHIR integration into the system of record.
Patient engagement platforms
Engagement and adherence platforms scaling from clinics to health-system contracts that demand enterprise procurement readiness.
RPM and chronic care platforms
RPM products integrating device streams into hospital EHRs with FHIR write-back and HIPAA-grade audit trails.
Behavioural health platforms
Behavioural products that need 42 CFR Part 2 layered onto HIPAA, SOC 2 evidence, and behavioural-EHR integration.
Women's & maternal health platforms
Maternal health platforms moving from D2C into payer and health-system contracts that require enterprise security review.
Inherited codebases needing hardening
Codebases we didn't build but need to enterprise-harden. The Week 1 audit makes the path explicit.
Our 12-week enterprise-readiness process
Audit → Enterprise Layer → EHR Integration → Validation & Handover
A focused, four-phase engagement. You see progress every week and hand over a hospital-ready platform in Week 12.
Step 01
Week 1 · Audit — codebase, architecture, and compliance gaps
3–5 day deep audit with your engineering lead. Output: gap-analysis report across security, SOC 2 / HITRUST readiness, EHR integration, and documentation, plus a prioritised, signed-off 12-week roadmap.
Step 02
Weeks 2–6 · Enterprise Layer — security, SOC 2, HITRUST
Hardened security architecture, ~75 hours of SOC 2 evidence collected, HITRUST gap-closure plan delivered, and runbooks written. Documentation is treated as a deliverable, not an afterthought.
Step 03
Weeks 6–10 · EHR Integration — FHIR + real-world data
FHIR R4 integration validated against Epic, Cerner/Oracle, or Athena sandboxes. HL7 v2 interfaces if your target hospitals still need them. Integration is production-validated — not just sandbox-tested.
Step 04
Weeks 10–12 · Validation & Handover — audit-ready, hospital-ready
End-to-end security validation, documentation package finalisation, and team handover. You leave Week 12 with everything a hospital procurement review demands.
After 12 weeks
You own the platform end-to-end
Keep building with us on a month-to-month subscription, or take it in-house — your choice. No lock-in, no licensing, no dependency on Agnotic to keep the platform running.
Keep shipping with Startup Acceleration
Roll into our monthly AI + human subscription after Week 12. Keep adding features, AI capabilities, and compliance work at 24-hour delivery speed.
Own everything, no lock-in
All code, infrastructure-as-code, documentation, and compliance evidence is yours. No licensing fees, no escrow, no Bitsol-dependency to keep the platform running.
Roll into hospital pilots
We've shaped the documentation, security posture, and integration to match real hospital procurement reviews — so the first enterprise deal isn't a 6-month security review.
Questions founders ask before starting
How we handle the hard parts
Challenge
Do you work with products you didn't build?
Agnotic approach
Yes. About half our enterprise-readiness engagements start with an existing codebase we didn't write. The Week 1 audit maps what exists, what's missing, and exactly how we'll close each gap. You get full visibility before we touch your code.
Challenge
Will this actually pass a hospital security review?
Agnotic approach
Yes. The documentation package, security architecture, and evidence are engineered against the questionnaires hospital security teams actually use — not a generic compliance template. We've reused the same answer library across multiple enterprise deals.
Challenge
Is SOC 2 or HITRUST certification included?
Agnotic approach
We deliver SOC 2 readiness — ~75 hours of evidence organised for your auditor — and a HITRUST gap-closure plan. The certification itself is performed by a CPA / auditor (SOC 2) or HITRUST assessor; we get you fully ready to enter that audit on day one.
Challenge
Which EHR systems can you integrate with?
Agnotic approach
Epic (App Orchard), Cerner / Oracle Health (Code), Athenahealth (Marketplace), Allscripts, eClinicalWorks, and behavioural-EHR specialists. We validate against the actual sandbox per platform and run real read/write flows before production.
Standards we deliver against
Enterprise healthcare standards in our 12-week SDLC
SOC 2HITRUSTHIPAAHITECHFHIRHL7GDPRISO 27001
Enterprise-Ready by Architecture, Validated by Real Hospital Procurement
Every 12-Week Enterprise-Ready engagement is architected against the questionnaires hospital security teams actually use — and the evidence is delivered as audit-ready artefacts, not promises.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive reproductive and health data.
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs and mappings.
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
Health Information Trust Alliance
Align security programs to healthcare-specific controls and risk management practices trusted by providers and partners.
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
Food and Drug Administration Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and regulatory submission.
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
Substance Abuse and Mental Health Services Administration (42 CFR Part 2)
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health related data experiences.
We Are Technology-Agnostic
With a diverse technology stack, we deliver solutions using a technology-Agnostic approach to meet your unique needs.
Wireframe & Ideation
User Experience
Real-Time Projects
Voices of Success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
"I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly."
Aaron Phelan
Founder, Benchmark
"Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together."
Kim Smith
Founder, My Lauren
"Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective."
John Pasmore
Founder, Latimer
Frequently Asked Questions
Yes. About half of our enterprise-readiness engagements start with an existing codebase we didn't write — that's what the Week 1 audit is for. We map what exists, what's missing, and exactly how we'll close each gap. You get full visibility before we touch your code.
Ready to win hospital deals?
Tell us what enterprise buyers are asking for — SOC 2, HITRUST, FHIR, or all of it. We'll map your 12-week path and what it will take to pass hospital security reviews.